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Quiet Time
Check-in Review AOD Relationships
 Review
 Four Characteristics
 Continuum
Emotions & Addiction Presentation
 Name
 Feeling
 Last use
 12 step meetings? What happened?
 Who attended a meeting?
 If you did not attend both meetings
• Did you think about it?
• What prevented your attendance?
 What can you do differently this week?
 Success with last week’s recovery tool
If you don’t manage your
emotions, they will manage you!
Understanding different types of
emotion is a tool for recovery
These seven basic feelings were
first introduced to the author by
staff at
the Meadows treatment center in
Wickenberg, Arizona.
The powerful connection with
emotion
Is the key to understanding
addiction…
A preventable and treatable
brain disease influenced by a
complex set of behaviors that
may be the result of genetic,
biological, psychosocial, and
environmental interactions
 Our emotions play a (big!) part in
why addictions are so powerful
Our body is wired with a reward
and punishment system to guide
our behavior
Drugs of abuse “hijack” this system,
confusing the drug’s reward &
punishment with our bodies own
chemicals
Our most basic drives
 Hunger and food seeking
Pleasure and reproduction
 Fight/Flight survival
 Cravings
 Based in the same part of the brain
affected by ALL drugs of abuse
 Addiction imitates our basic drives
 Which of the seven basic
emotions trigger cravings for you
most often?
 Does one emotion show up more
in your life than any other
feeling?
Which emotion is your primary
feeling?
There is an “emotional neural
network” implicated in human
drug abuse.
This system is concerned with
visceral and emotional behavior,
with primal urges and primal
moods.
 It causes the organism to
recognize a reward, and work for
it; to recognize punishment, and
try to avoid it.
 Drugs can interact with systems
regulating these basic drive states
through effects on receptors in the brain
and neural circuitry
 Drugs can capture control of brain
mechanisms that control motivations and
emotions (i.e., Basic drives, such as anger,
fear, anxiety, pain, and depression).
 Dopamine, one example of a
neurotransmitter, is correlated with:
“highs” elicited by addictive drugs (i.e.
cocaine)
 cravings in withdrawal
 Dopamine is activated in a “reward
system”
 Drugs of abuse activate the same reward
system, - increasing or decreasing
dopamine
 Learned emotional reactions are created
contributing to drug addiction…
 Regulation of Emotion may be
implemented by certain brain
regions
 The pre-frontal cortex (PFC)
 • Orbitofrontal PFC
 • Dorsolateral PFC
 • Anterior cingulate cortex
 The limbic/para-limbic structures
 • Amygdala
 • Hypothalamus
Alcohol & Other Drugs
Alcohol
dampens fear
and inhibits
response
By impairing
cognitive
processing
capacity
Can lead to changes in
behavior
and emotional reactions
Can inhibit
adaptive
behavior
 The nicotine molecule is shaped like a
neurotransmitter called acetylcholine.
 Acetylcholine and its receptors are
involved in many functions, including
mood, appetite, memory, and more.
 Nicotine also activates areas of the brain
that are involved in producing feelings of
pleasure and reward.
 Recently, scientists discovered that
nicotine raises the levels of dopamine.
 The shape, size, and chemical structure of
methamphetamine and dopamine are similar.
 Dopamine is sometimes called the pleasure
neurotransmitter.
 Methamphetamine is able to fool neurons into taking it up
just like they would dopamine.
 Methamphetamine causes that neuron to release lots of
dopamine, creating an extra sense of pleasure.
 Eventually these pleasurable effects stop. They are
followed by unpleasant feelings called a "crash“ that often
leads a person to use more of the drug.
 If a person continues to use methamphetamine, he will
have a difficult time feeling pleasure from anything, and
this effect can last a long time
 One region of the brain that contains A lot of THC receptors is
The hippocampus, which processes memory.
 When THC attaches to receptors
In the hippocampus, it weakens
Short-term memory.
 The hippocampus also
Communicates with other brain
Regions that process new
Information into long-term
Memory.
 In the brain, under the influence of
Marijuana, new information may
Never register - and may be lost
From memory.
 THC also influences emotions,
Probably by acting on A region of
The brain called the limbic system.

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Wire week 6 emotion and addiction

  • 1.
  • 2.
  • 3. Quiet Time Check-in Review AOD Relationships  Review  Four Characteristics  Continuum Emotions & Addiction Presentation
  • 4.  Name  Feeling  Last use  12 step meetings? What happened?  Who attended a meeting?  If you did not attend both meetings • Did you think about it? • What prevented your attendance?  What can you do differently this week?  Success with last week’s recovery tool
  • 5. If you don’t manage your emotions, they will manage you!
  • 6.
  • 7. Understanding different types of emotion is a tool for recovery
  • 8.
  • 9. These seven basic feelings were first introduced to the author by staff at the Meadows treatment center in Wickenberg, Arizona.
  • 11.
  • 12. Is the key to understanding addiction…
  • 13. A preventable and treatable brain disease influenced by a complex set of behaviors that may be the result of genetic, biological, psychosocial, and environmental interactions
  • 14.  Our emotions play a (big!) part in why addictions are so powerful Our body is wired with a reward and punishment system to guide our behavior Drugs of abuse “hijack” this system, confusing the drug’s reward & punishment with our bodies own chemicals
  • 15. Our most basic drives  Hunger and food seeking Pleasure and reproduction  Fight/Flight survival  Cravings  Based in the same part of the brain affected by ALL drugs of abuse  Addiction imitates our basic drives
  • 16.  Which of the seven basic emotions trigger cravings for you most often?  Does one emotion show up more in your life than any other feeling? Which emotion is your primary feeling?
  • 17. There is an “emotional neural network” implicated in human drug abuse.
  • 18.
  • 19. This system is concerned with visceral and emotional behavior, with primal urges and primal moods.  It causes the organism to recognize a reward, and work for it; to recognize punishment, and try to avoid it.
  • 20.  Drugs can interact with systems regulating these basic drive states through effects on receptors in the brain and neural circuitry  Drugs can capture control of brain mechanisms that control motivations and emotions (i.e., Basic drives, such as anger, fear, anxiety, pain, and depression).
  • 21.  Dopamine, one example of a neurotransmitter, is correlated with: “highs” elicited by addictive drugs (i.e. cocaine)  cravings in withdrawal  Dopamine is activated in a “reward system”  Drugs of abuse activate the same reward system, - increasing or decreasing dopamine  Learned emotional reactions are created contributing to drug addiction…
  • 22.
  • 23.  Regulation of Emotion may be implemented by certain brain regions  The pre-frontal cortex (PFC)  • Orbitofrontal PFC  • Dorsolateral PFC  • Anterior cingulate cortex  The limbic/para-limbic structures  • Amygdala  • Hypothalamus
  • 25. Alcohol dampens fear and inhibits response By impairing cognitive processing capacity
  • 26. Can lead to changes in behavior and emotional reactions Can inhibit adaptive behavior
  • 27.  The nicotine molecule is shaped like a neurotransmitter called acetylcholine.  Acetylcholine and its receptors are involved in many functions, including mood, appetite, memory, and more.  Nicotine also activates areas of the brain that are involved in producing feelings of pleasure and reward.  Recently, scientists discovered that nicotine raises the levels of dopamine.
  • 28.  The shape, size, and chemical structure of methamphetamine and dopamine are similar.  Dopamine is sometimes called the pleasure neurotransmitter.  Methamphetamine is able to fool neurons into taking it up just like they would dopamine.  Methamphetamine causes that neuron to release lots of dopamine, creating an extra sense of pleasure.  Eventually these pleasurable effects stop. They are followed by unpleasant feelings called a "crash“ that often leads a person to use more of the drug.  If a person continues to use methamphetamine, he will have a difficult time feeling pleasure from anything, and this effect can last a long time
  • 29.
  • 30.  One region of the brain that contains A lot of THC receptors is The hippocampus, which processes memory.  When THC attaches to receptors In the hippocampus, it weakens Short-term memory.  The hippocampus also Communicates with other brain Regions that process new Information into long-term Memory.  In the brain, under the influence of Marijuana, new information may Never register - and may be lost From memory.  THC also influences emotions, Probably by acting on A region of The brain called the limbic system.

Editor's Notes

  1. Emotional Exploration. A relaxation exercise that is basically progressive relaxation, but adds instruction about noticing their feelings. Once they are in a relaxed state, ask them to turn their attention toward any physical sensations linked to emotions. Sometimes it is helpful to use a metaphor such as “fishing”; visualize casting a lure and waiting to see what rises to the surface. Use any metaphor common in the local culture that would relate to quiet exploration.
  2. Learn about emotions as a neurological reality and how they are connected to the neurobiology of addiction. Learn the importance of identifying, managing and expressing feelings for recovery success.
  3. Before check-in, remind the participants that they need to use a descriptive feeling word. Joke with them that if they have been consistently vague about their feelings, they are not going to have any more chances to do that. The check-in must include specific information about their current feelings – perhaps insights they discovered during Emotional Exploration. Always include check-in about most recent drug use and recovery activity attendance.
  4. Participants should locate their Continuum and Four Characteristic handouts. With the handouts face down, see if the group can collaborate and remember all four of the characteristics. Each person should come up with one until all four have been reached. Ask them if anybody has changed her mind about where she is on the drug relationship continuum. Have each participant locate her relationship with alcohol, if they have not done so already.
  5. This activity uses multi-colored yarn. Have participants hold the yarn and clip it off so their piece is about 2-3 feet long. Each participant should tie the two ends in a knot. Have them make a ‘Cat’s Cradle’ or another type of knot to represent their personal tangle of various emotions. Talk about how on a bad day, they get more and more twisted (twist your own yarn while describing this). The resulting knot may feel overwhelming. If we struggle and tug at the knot it gets worse. If we ignore it, there it will sit until we are ready to deal with it. It is necessary to untangle the knot and separate the strands in order to use the feelings. In today’s presentation, we will learn how feelings can be useful, but must be untangled before we can effectively harness their power. The power of emotion is huge – they will understand why after the presentation. Have them toss the instructor’s knot around while discussing this metaphor as a group.
  6. Tell them to keep that piece of string as a reminder to untangle their emotions. If they are having a hard day, then it’s time to stop and separate the strands. Show them the Seven Emotions for Addiction Treatment chart and let them know you will explain it during the presentation after break.
  7. Robert Plutchik considered there to be eight primary emotions – anger, fear, sadness, disgust, surprise, anticipation, trust, and joy. Plutchik proposed that these ‘basic’ emotions are biologically primitive and have evolved in order to increase the reproductive fitness of the animal. Plutchik argues for the primacy of these emotions by showing each to be the trigger of behavior with high survival value, such as the way fear inspires the fight-or-flight response. http://en.wikipedia.org/wiki/Robert_Plutchik Important introduction to this presentation: Explain you are going to try to respect their intelligence, and at the same time appreciate that they are just starting to clear their heads from using drugs or alcohol for quite a while. This presentation is interesting but also contains a lot of information. If they start to feel overwhelmed, just review their Seven Emotions handout. You are going to talk about the actual biology of the brain. Let them know that it’s not important that they remember specific names of the brain parts, only the major concepts. If they don’t understand something, make a big question mark on their notes page. Come back to those questions later or immediately during the presentation. Emotional Education is a fairly unique approach in the Recovering Together program based on very recent research. They may never have been introduced to this information in any other treatment program or in the media. Make sure you leave plenty of time for the discussion questions.
  8. . Institute of Medicine. (1997). Dispelling the myths about addiction: Strategies to increase understanding and strengthen research. Washington, D.C.: National Academy Press. Retrieved on April 13, 2002 from http://www.netlibrary.com/urlapi.asp?action=summary&v=1&bookid=964
  9. Rollis, 2000. Moyers, B. (1998). Moyers on addiction: Close to home. The Hijacked Brain. [Motion Picture]. Public Affairs Television Inc.
  10. Robbins, T. W., & Everitt, B. J. (1999). Interaction of the dopaminergic system with mechanisms of associative learning and cognition. Psychological Science, 10(3), 199-202. Retrieved May 30, 2002, from http://www.ebsco.com/online/direct.asp?ArticleID=6LA41CW6800EXPKRTKAQ
  11. Rosenzweig, M.R., Breedlove, S.M., & Leiman, A.L. (2002). Biological psychology: An introduction to behavioral, cognitive, and clinical neuroscience, (3rd ed). Sunderland, MA: Sinauer Associates. p. 479 Drawing by Brent Humphries, retrieved on June 10, 2002 from http://ola.aacc.cc.md.us/psy214/dopamine.htm.
  12. Gagliardi, S. (n.d.) Limbic system: Visceral behaviors, emotion, and memorization. Retrieved on May 9, 2002, from http://omeweb.umassmed.edu/curriculum/MBB1/MBBHTML/FB/LimbicOverviewF rames.html.
  13. Institute of Medicine. (1997). Dispelling the myths about addiction: Strategies to increase understanding and strengthen research. Washington, D.C.: National Academy Press. Retrieved on April 13, 2002 from http://www.netlibrary.com/urlapi.asp?action=summary&v=1&bookid=964
  14. Robbins and Everitt, 1999.
  15. National Institute on Drug Abuse. (1998). Mind over matter: Nicotine series. NIH Publication No. 98-4248. National Institutes of Health. Retrieved on June 11, 2002, from http://www.nida.nih.gov/MOM/NIC/MOMNIC2.html